Connecticut Valley Recovery Services, Inc.

LBN: Connecticut Valley Recovery Services, Inc.
Connecticut Valley Recovery Services, Inc. is an health care organization with primary practice located at 141 Etta Frasier Dr , Windsor VT 05089-1315. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Connecticut Valley Recovery Services, Inc. can be contacted via phone (802) 674-9400, or through Lord, Clifton Frederick via phone (802) 356-6496.

Contact Information

Primary practice address
141 Etta Frasier Dr Windsor VT 05089-1315
Phone: (802) 674-9400
Fax: (802) 674-9410
Website:
Map and Directions
Authorized official contact:
Name: Lord, Clifton Frederick Doctor of Medicine (MD)
Phone: (802) 356-6496

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1639381668
LBN Legal business name Connecticut Valley Recovery Services, Inc.
DBA Doing business as
Authorized official Lord, Clifton Frederick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Jun 8th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639381668 NPPES
Vermont MEDICAID 0006638

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